Ariz. Admin. Code § 9-10-721

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-721 - Environmental Standards

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that:

1. The premises and equipment are:

a. Maintained in a condition that allows the premises and equipment to be used for the original purpose of the premises and equipment;

b. Cleaned and, if applicable, disinfected according to policies and procedures designed to prevent, minimize, and control illness or infection; and

c. Free from a condition or situation that may cause a resident or other individual to suffer physical injury;

2. A pest control program that complies with A.A.C. R3-8-201(C)(4) is implemented and documented;

3. Biohazardous medical waste is identified, stored, and disposed of according to 18 A.A.C. 13, Article 14 and policies and procedures;

4. Equipment used at the behavioral health residential facility is:

a. Maintained in working order;

b. Tested and calibrated according to the manufacturer's recommendations or, if there are no manufacturer's recommendations, as specified in policies and procedures; and

c. Used according to the manufacturer's recommendations;

5. Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of the testing, calibration, or repair;

6. Garbage and refuse are:

a. Stored in covered containers lined with plastic bags, and

b. Removed from the premises at least once a week;

7. Heating and cooling systems maintain the behavioral health residential facility at a temperature between 70° F and 84° F;

8. A space heater is not used;

9. Common areas:

a. Are lighted to assure the safety of residents, and

b. Have lighting sufficient to allow personnel members to monitor resident activity;

10. Hot water temperatures are maintained between 95° F and 120° F in the areas of the behavioral health residential facility used by residents;

11. The supply of hot and cold water is sufficient to meet the personal hygiene needs of residents and the cleaning and sanitation requirements in this Article;

12. Soiled linen and soiled clothing stored by the behavioral health residential facility are maintained separate from clean linen and clothing and stored in closed containers away from food storage, kitchen, and dining areas;

13. Oxygen containers are secured in an upright position;

14. Poisonous or toxic materials stored by the behavioral health residential facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;

15. Combustible or flammable liquids and hazardous materials stored by a behavioral health residential facility are stored in the original labeled containers or safety containers in a locked area inaccessible to residents;

16. If pets or animals are allowed in the behavioral health residential facility, pets or animals are:

a. Controlled to prevent endangering the residents and to maintain sanitation;

b. Licensed consistent with local ordinances; and

c. For a dog or cat, vaccinated against rabies;

17. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:

a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;

b. If necessary, corrective action is taken to ensure the water is safe to drink; and

c. Documentation of testing is retained for at least 12 months after the date of the test; and

18. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to all applicable state laws and rules.

B. An administrator shall ensure that:

1. Smoking tobacco products is not permitted within a behavioral health residential facility; and

2. Smoking tobacco products may be permitted on the premises outside a behavioral health residential facility if:

a. Signs designating smoking areas are conspicuously posted, and

b. Smoking is prohibited in areas where combustible materials are stored or in use.

C. If a swimming pool is located on the premises, an administrator shall ensure that:

1. On each day that a resident uses the swimming pool, an employee:

a. Tests the swimming pool's water quality at least once for compliance with one of the following chemical disinfection standards:

i. A free chlorine residual between 1.0 and 3.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test;

ii. A free bromine residual between 2.0 and 4.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test; or

iii. An oxidation-reduction potential equal to or greater than 650 millivolts; and

b. Records the results of the water quality tests in a log that includes each testing date and test result;

2. Documentation of the water quality test is maintained for at least 12 months after the date of the test;

3. A swimming pool is not used by a resident if a water quality test shows that the swimming pool water does not comply with subsection (C)(1)(a);

4. At least one personnel member, with cardiopulmonary resuscitation training that meets the requirements in R9-10-703(C)(1)(e), is present in the pool area when a resident is in the pool area; and

5. At least two personnel members are present in the pool area if two or more residents are in the pool area.

Ariz. Admin. Code § R9-10-721

Adopted effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, §17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final expedited rulemaking at 25 A.A.R. 259, effective 1/8/2019.

The following Section was adopted under an exemption from the provisions of the Administrative Procedure Act which means these rules were not reviewed by the Governor's Regulatory Review Council; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; and the Department was not required to hold public hearings on these rules (Supp. 98-4).